Research Based – Behavioral Health Treatment for Autism Spectrum Disorder
Approved for beneficiaries over the age of 21, effective July 1, 2021

Approved for beneficiaries over the age of 21, effective July 1, 2021

NC Medicaid received approval from the Centers for Medicare & Medicaid Services (CMS) for Research Based – Behavioral Health Treatment (RB-BHT) for Autism Spectrum Disorder (ASD) services for beneficiaries over the age of 21, effective July 1, 2021, when the intervention provided is supported by credible scientific or clinical evidence, as appropriate for the beneficiary’s age range. Updates are being made to Clinical Coverage Policy 8F to reflect this change. 

Request for RB-BHT for beneficiaries over the age of 21 should be made through the applicable LME-MCO or Standard Health Plan. 

Contact

NCTracks Call Center: 800-688-6696

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